Grove of Fox Valley,The

In the surveyor’s words

From the most serious findings on record at Grove of Fox Valley,The, in the surveyor’s own words.

• Immediate jeopardy, patternF689Feb 1, 2022

  Based on observation, interview, and record review the facility failed to provide supervision for a resident with a history of falls while she was outside of the facility smoking and failed to have a plan in place for residents exiting the facility during inclement weather. These failures resulted in R55 exiting the facility unsupervised while the outside temperature was 14 degrees Fahrenheit (F) below zero and experiencing an unwitnessed fall. This applies to 16 of 129 residents (R55, R12, R64, R4, R5, R109, R77, R51, R50, R56, R21, R3, R47, R378, and R48) reviewed for safety and supervision. The Immediate Jeopardy began on 1/26/22 at approximately 7:00 AM when R55 exited the facility unsupervised and experienced an unwitnessed fall. […]

• Actual harm, isolatedF689Jul 15, 2026

  Based on observation, interview and record review, the facility failed to ensure that a resident identified as dependent on for ADLs (Activities of Daily Living) was protected from sustaining burn injuries.This applies to 1 of 3 residents (R1) reviewed for resident injuries in the sample of 3.This failure resulted in R1 being transferred to the local emergency room on July 7, 2026 and then was transferred to the regional specialty burn center on July 8, 2026. R1 was admitted to the regional specialty burn center from July 8 through July 10, 2026 with 3% mixed thickness burns on the anterior trunk and left thigh.The findings include:R1 was originally admitted to the facility on [DATE], and was recently readmitted from the hospital to the facility on July 11, 2026. […]

• Actual harm, isolatedF689Apr 18, 2026

  Based on observation, interview and record review, the facility failed to protect a resident dependent on staff for all ADLs (Activities of daily Living), from obtaining full thickness burns on the left side of her torso and partial thickness burns that extended from left upper back to top of the left thigh. This applies to 1 of 3 residents (R1) reviewed for wound care in the sample of 5. This failure resulted in R1 being transferred from the facility to the local emergency room on March 22, 2026, and then transferred to the regional specialty burn center. […]

• Actual harm, isolatedF689Sep 14, 2023

  Based on interview and record review, the facility failed to follow a resident's plan of care for transfers for one of three residents (R1) reviewed for transfers on the sample list of three. This failure resulted in R1's foot getting stuck on the front of R1's wheelchair and R1's foot fracture. The findings include: R1's EMR (Electronic Medical Record) showed R1 was admitted to the facility on [DATE], with multiple diagnoses including cerebral palsy, fracture of right tibia, end stage renal disease, benign prostatic hyperplasia, and atrial fibrillation. R1's MDS (Minimum Data Set) dated May 26, 2023, showed R1 was cognitively intact. The MDS shows R1 required extensive assistance of facility staff for transfers between surfaces. […]

• Actual harm, isolatedF600Feb 1, 2022

  Based on observation, interview, and record review the facility failed to ensure a resident was free from sexual and verbal abuse from a facilty staff member. This applies to 1 of 1 (R35) residents reviewed for abuse in the sample of 29. This failure resulted in the R35 experiencing fear for her safety and anxiety. The findings include: 1. R35's Face Sheet showed she was a [AGE] year old female with an admitted [DATE]. The Face Sheet showed diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . R53's Minimum Data Set (MDS), dated [DATE], showed she was cognitively intact with a Brief Interview Mental Status score of 15 out 15. The MDS showed she required extensive assistance of two people for bed mobility and transfers. […]